HomeMy WebLinkAboutPermit D06-239 - Lopez Residence - ReroofLOPEZ RESIDENCE
3233 S 137 ST
EXPIRED
D06 -239
Parcel No.: 8864000415
Address: 3233 5 137 ST TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contractor:
Name:
Address: ,
Contractor License No:
Value of Construction: $5,000.00
Type of Fire Protection:
Type of Construction:
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use
Water Main Extension:
Water Meter: N
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
LOPEZ RESIDENCE
3233 S 137 ST, TUKWILA WA
DEVELOPMENT PERMIT
Permit Number:
Issue Date:
Permit Expires On:
LOPEZ REFUGIO Phone:
1715 29TH AVE, SEATTLE WA
Phone: 206 719 -1700
Contact Person:
Name: REFUGIO LOPEZ
Address: 3233 S 137 ST, TUKWILA WA
OWNER AFFIDAVIT ON FILE - REFUGIO LOPEZ Phone:
Expiration Date:
D06 -239
06/20/2006
12/17/2006
DESCRIPTION OF WORK:
REPLACE EXISTING DAMAGED ASPHALT SHINGLES WITH METAL ROOFING - REPLACED ROTTING SHEATHING.
N
N
Fees Collected: $231.84
Uniform Building Code Edition:
Occupancy per UBC: 0022
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start lime: End Time:
Private:
Profit: N
Private:
** Continued Next Page **
Public:
Non - Profit: N
Public:
D06 -239 Printed: 06 -20 -2006
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read and
doc: Devperm
Permit Center Authorized Signature: (/yM AV -0IAC)
ordinances governing this work will be with, whether specified herein or not.
Date: OU (9,01 ao
his permit and know the same to be true and correct. All provisions of law and
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance of work. I am authorized to sign and obtain this development permit.
Signature: � G � �Ii^�+^'R�A Date: t at/ 017
Print Name: tt ek Fyffe, i d 1 E
This permit shall become null and void if the work Is not commenced within 180 days from the date of Issuance, or if the work Is
suspended or abandoned for a period of 180 days from the last Inspection.
D06 -239 Printed: 06 -20 -2006
Parcel No.: 8864000415
Address: 3233 5 137 ST TUKW
Suite No:
Tenant: LOPEZ RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Conditions
City orTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
PERMIT CONDITIONS
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D06 -239
Status: ISSUED
Applied Date: 06/20/2006
Issue Date: 06/20/2006
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final Inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fits or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The Issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
D06 -239 Printed: 06 -20 -2006
Signature:
City arTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
The granting of this permit does not presume to give authority to violate or cancel the provision of any
regulating construction or the performance of work.
agsfir ,(ficr
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
governing this work will be complied with, whether specified herein or not.
Print Name: g E F v g t Ii n o%
doc: Conditions D06 -239
Steven M. Mullet, Mayor
Steve Lancaster, Director
Date: 6 ',210 c' (i
of law and ordinances
other work or local laws
Printed: 06 -20 -2006
Site Address: 32.33 S /37 S7'
Tenant Name: 1Te /err
Property Owners NameCiti vecai La
2 rs /
Mailing Address:
CONTACT PERsoN
Name: R
Mailing Ad ss: S Z 5 S• /Sri St.
E-Mail Address.
,GENERAL. CONTRACTORDWORIQIATION.-
(Contiactor 106*i Mechanical tpad),for'Plutabirig and Cal Piplag‘(015)}:
Company Name: ist74. /Aim
Mailing Address: i 241/ gi 7:1 4 ,,-
Contact Person: Asp,
E-Mail Address:
nrstavy 4 Wts Pos.
"MtalITECT OE RECORD - An plans must be wet stamped by Architect Of Record
Contractor Registration Number: "tar
Mailing Address:
Contact Person:AlrAq4
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
CITY OF TUKWILA
Community Developmen
Public Works Departmeni
Permit Center
6300 Southcenter Blvd., Suite 100
Talcs:41a, WA 98188
htto://www.cistukwila.wa,us
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print"
Xi se
Company Name: Got/ ti--108
Q: \ ApplicationsWornu-Applicatione On LineVI-2006 - Permit Application.doc
Revised: 4-2006
bh
King Co Assessor's Tax No.: IS.ILIOO
Suite Number: Floor:
New Tenant: ..- Yes gt..No
7)) /%0i'ty'seti
Zidcw Ler ,
State
Fax Number: 'sr"
/di • PinZ
City 0 A s N Zip
Day TeleFrae( t7 a zzq
Fax Number:
Ws.. yr/0
Day Telephone: - /74Q
Expiration Date:
st-
uja
City State" /
t idy fern* StyArl IC Telephone: 4/0.60 C32- 5
E-Mail Address: fax Number-.4 -
'ENGINEER OF RECORD -Alt plans must be wet stamped by Engineer of Record
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
Valuation of Project (contractor's bid price): $ J
Scope of Work (please provide detailed information):
r
Ss ‘Ocy14c 4 jly• 37 4 t iilj= (5 . —
f?rt `% i ‘M r4 ef 6
Existing Building Valuation: $ 3
Will there be new rack storage? ❑ ..Yes .. No (If yes, a separate permit and plan submittal will be required)
Provide All Building Areas in Square
Floor
3t Floor
Floors
:Easement
sson' rStnli
Attached
age :
Detach
atage
Attach
c
Detached Carport
ck
Uncovered
Existing
R
tenor
Remodel
Addition to
Existing
'
Type of
Occupancy per
PLANNING DIVISION:
Single - family building footprint (area of the foundation of as structures, plus any decks over 18 inches and overhangs greater than 18 inches
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact:
Handicap:.
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes ❑..No
If "yes". attach list of materials and storage locations on a separate 8 - 1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
SEPTIC SYSTEM:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q: AppliatioaffmmrAppliwioiu On LineU -2006 • Permit Applicstion.doc
Revised: 44006
bh
Paget of
PERMIT APPLICATION NOT - Applicable to all permits in this a,�lca
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
�� t
Signature:Q#��y AQ
Print Name:
Mailing Address: /g Q` Z H. .4yc
Date Application Expires:
Date Application Accepted: f l a
Q MpplicationdPmme- Applications On LineV -2006 - Permit AppliWion.doc
Revised: 42006
bh
SEVI
City
Date: 6 —26 . .,
Day Telephone:
,�., 15$ZZ
Mete p
Staff Initials:
r
Page 6 of 6
Fixture Type:
o
Type:
0
Fixture Type:
Qty
Fixture Type:
Bathtub or combination
bath/shower
Drinkin ountain or water
cooler (. ead)
Gas piping outlets
Bidet
... . -
Receptor
waste
Clothes washer, domestic
Floor drain
Ira
Dental unit, cuspidor
8 ower, single h , trap
[it- fl�
Dishwasher, domestic,
with independent drain
Lavatory �.I'
Building sewer or trailer
park sewer
Rain water system -`
drain (inside building) )) ��
Water heater and/or
vent
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of w
piping and/or water tread.;'
equipment
,
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to e
five
inlets/outlets for specific
gas
Additional meth t
inlet x df more
,- more
//
y
'_
PLIJMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Valuation of Project ntractor's bid price): $
Scope of Work (please p vide detailed information):
City
Contact Person:
E -Mail Address:
Contractor Registration Number: Expiration Date:
Indicate type of plumbing fixtures an or gas piping outlets being installed and the quan
Q: AppliulioneWomu- Applications On Line\ -2006 - Permit Applicetion.doc
Revised: 4-2006
bh
City
Day Telephone:
Fax Number:
low:
Zip
Page 5 of 6
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8864000415
Address: 3233 S 137 ST TUKW
Suite No:
Applicant: LOPEZ RESIDENCE
Payee: REFUJIO P. LOPEZ
TRANSACTION LIST:
Type Method Description
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000/322.100
000/345.830
000/386.904
RECEIPT
Receipt No.: R06 -00896 Payment Amount: 231.84
Initials: ]EM Payment Date: 06/20/2006 10:41 AM
User ID: 1165 Balance: $0.00
Permit Number: D06 -239
Status: PENDING
Applied Date: 06/20/2006
Issue Date:
Amount
Payment Check 6422 231.84
Account Code Current Pmts
137.78
89.56
4.50
Total: 231.84
6648 06/21 9716 TOTAL 231.84
doc: Receipt Printed: 06 -20 -2006
11 -01 -2006
REFUGIO LOPEZ
3233 S 137 ST
TUKWILA WA 98168
RE: Permit No. D06 -239
3233 S 137 ST TUKW
Dear Permit Holder:
City of L ukvvila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such pemmit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based cm the above, you are hereby advised to:
Call the Cicy of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writinx and drovide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 12/17/2006, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
shall,
Permit Technician
xc: Permit File No. W6 -239
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 -431 -3665
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
STATE OF WASHINGTON)
COUNTY OF KING ).
Permit Center /Building Division:
206-431 -3670
Public Works Department:
206 -433 -0179
Planning Division:
206-431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMITNO.: polo-evict
S S.
4 .4 / 1„.„,, , states as follows:
lease print)
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the State of
Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
Washington, a copy of which is printed on the reverse side of this Affidavit. 1 have read or am familiar with RCW
18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of
Tukwila must verify either that the contractor Is registered by the State of Washington, or that one of the exemptions
stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration regArement of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. I '7 , and will therefore not be performed by a registered
contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
. Gt f:9eacr'!,
• �S SION i J- s
' .QTAg 9
i t p'• P UBU 0 12 :
cA .
\applications\B -2004 affidavit in lieu of contractor registration
APPLICAN
Signed and swom to before me this
204 day of Tune 2006.
a tet w • N
NOTARY PUBLIC in and for the t o of Washington,
Residing at K' n y , County.
Name as commissioned: Alice A. Deacy
My commission expires: 6 /6 — 08
18.27.090 Exemptions. This chapter shall not apply to:
An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township,
irrigation district, reclamation district or other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
8. Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only furnished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor;
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications\8-2004 affidavit in lieu of contractor registration
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
12. An owner who contracts for a project with a
registered owner;
Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages in the activities herein
regulated as an employee of a registered
contractor with wages as his sole compensation;
17. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws
of 1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.